Active NPI
Victoria of Texas LP
- Critical Access Hospital
- Victoria, TX
National Provider Identifier
1003141128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 000453
- Legal business name
- VICTORIA OF TEXAS LP
- Practice address
- 506 E San Antonio St
Victoria, TX 77901-6060 - Phone
- (361) 575-7441
- Fax
- (361) 788-6114
- NPI assigned
- Oct 7, 2009
- Organization subpart
- Yes
- Parent organization
- VICTORIA OF TEXAS LP
Authorized official
NPPES NPI Registry- Name
- Laurie Holtsford
- Title
- Authorized Official
- Phone
- (615) 465-7466
Corporate family (same tax ID) 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Hospital Unit
- Victoria, TX
- NPI 1053366625
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1851343909
-
- Ambulatory Surgical Clinic/Center
- Victoria, TX
- NPI 1952636060
National Provider Directory
National Provider Directory- Tax ID family
- Robert Simpkins MD
- Part of
- Robert Simpkins MD
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 000453 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
506 E San Antonio St
Victoria, TX 77901-6060
Mailing address
PO Box 2089
Victoria, TX 77902-2089
Phone (361) 575-7441
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025223101 | Medicaid | TX |
Other names 1
NPPES NPI Registry- DeTar Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2009.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254873600000",
"number": "1003141128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2089",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779022089",
"telephone_number": "361-575-7441",
"fax_number": "361-788-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 E SAN ANTONIO ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779016060",
"telephone_number": "361-575-7441",
"fax_number": "361-788-6114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORIA OF TEXAS LP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VICTORIA OF TEXAS LP",
"enumeration_date": "2009-10-07",
"last_updated": "2009-10-07",
"status": "A",
"authorized_official_last_name": "HOLTSFORD",
"authorized_official_first_name": "LAURIE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-465-7466"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "TX",
"license": "000453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025223101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DeTar Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.